DEA extends telehealth prescription waivers, puts proposed rules on hold
By: Julia Kyles, CPC
Advocacy groups, specialty societies and medical providers praised the extension of waivers that allow practices to prescribe controlled substances via telehealth. The extension will run until Nov. 11, 2024, if a patient establishes a telehealth relationship with a provider by Nov. 11, 2023.
As masks go away, you can keep them in your practice — if you watch the law
By: Roy Edroso
The PHE is over and only a few states still have a mask mandate for health care facilities. But if you want to continue to require masking at your practice, experts say you can do it — even if patients and staff object — except in certain circumstances.
After correction, review the rules for counting a test interpretation toward MDM
By: Julia Kyles, CPC
Your providers can get credit for both the order and the interpretation of a test thanks to technical correction issued by the AMA on March 1. You will promote proper coding based on medical decision-making (MDM) if you make sure your team understands that the update did not change the guidelines for calculating the number of tests that the treating provider ordered, reviewed or interpreted.
Part B News Features
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Question: Our psychiatric provider will administer Spravato (esketamine) to a patient. I know there are codes for this: G2082 (Office E/M, established patient, w/provision of up to 56 mg of esketami... More
NPP Report
Recent changes mandated by Congress and CMS that boost the status of physician assistants (PA) — or physician associates, as some groups prefer — is another sign that the providers formerl... More
Benchmark of the Week
While mental health surfaced as a big topic during the COVID-19 crisis, most psychiatric evaluation and psychotherapy services didn’t see a major boost in claims. Nearly all saw a dip in utili... More
Ask a Part B News Expert
Question: Our psychiatric provider will administer Spravato (esketamine) to a patient. I know there are codes for this: G2082 (Office E/M, established patient, w/provision of up to 56 mg of esketami... More
NPP Report
Recent changes mandated by Congress and CMS that boost the status of physician assistants (PA) — or physician associates, as some groups prefer — is another sign that the providers formerl... More
Benchmark of the Week
While mental health surfaced as a big topic during the COVID-19 crisis, most psychiatric evaluation and psychotherapy services didn’t see a major boost in claims. Nearly all saw a dip in utili... More
choose your feature view ► Ask Part B News & NPP Report Benchmark of the Week & Ask Part B News NPP Report & Benchmark of the Week
Part B News Blog
May 25, 2023
Cigna backs off on tough new modifier 25 policy – for now
by: Laura Evans, CPC
May 25, 2023
AMA previews E/M updates in 2024 and beyond
by: Julia Kyles, CPC
May 24, 2023
Now open: CMS launches application period for '24 Shared Savings ACO program
by: Richard Scott
Tools
April 1, 2023 ICD-10-CM code file
Bring your staff up to date on the ICD-10-CM code changes that went into effect April 1.
Use new E/M coding worksheet for level-based E/M encounters
DecisionHealth has revised its tool for office/other outpatient E/M visits (99202-99215) to include encounters performed in the inpatient or observation (99221-99223 and 99231-99236), emergency department (99281-99285), nursing facility (99304-99310) and home or residence (99341-99350) settings and consults (99242-99245 and 99252-99255).
See more...
Benchmark of the Week
Revenue up despite claims depression for psych, diagnostic codes
While mental health surfaced as a big topic during the COVID-19 crisis, most psychiatric evaluation and psychotherapy services didn’t see a major boost in claims. Nearly all saw a dip in utilization between 2019 and 2021, although the lone outlier grew enough, abetted by rate increases, that payments jumped more than $66 million.
A year of HIPAA breach data highlights the current threats to PHI
Outside attempts to steal protected health information (PHI), such as ransomware attacks, dominate the headlines, but internal mistakes continue to trigger breaches involving at least 500 patients. Any provider who experiences a breach of that size must file a report with HHS that will be posted on the so-called HIPAA “wall of shame,” notify the affected patients, make a public announcement, take steps to mitigate harm to the patients and, often, weather the bad press that follows.
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Learning Opportunities
WEBINAR
Webinar Transition to a Post-PHE Era: Craft a Coding, Billing, and Compliance Plan
WEBINAR
Webinar Facet Joint Interventions: Prepare for Prior Authorizations and More Medicare Audits
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